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psnet.ahrq.gov/perspective/patient-safety-frail-older-patients
November 26, 2019 - energetics: low grip strength, low energy, slowed waking speed, low physical activity, and/or unintentional weight
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psnet.ahrq.gov/primer/maternal-safety
January 10, 2024 - or birth and almost 30% reported experiencing discrimination on the basis of race or ethnicity, age, weight
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psnet.ahrq.gov/web-mm/multiple-levels-involved-prescribing-wrong-medication
December 23, 2020 - pharmacies by including patient chart notes or at least pertinent medical information, such as diagnosis, weight
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psnet.ahrq.gov/perspective/conversation-heidi-wald-md
November 26, 2019 - energetics: low grip strength, low energy, slowed waking speed, low physical activity, and/or unintentional weight
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psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
December 23, 2020 - form. 8 Risk factors for medication errors in pediatric patients include the need for individualized weight-based
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psnet.ahrq.gov/web-mm/agitated-delirium-contributes-missed-testing-and-delayed-diagnosis-gastric-perforation
June 28, 2023 - of the tube by swallowing during insertion. 3,4 These tubes may contain a guidewire or may have a weight
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psnet.ahrq.gov/web-mm/case-mistaken-capacity-why-thorough-psychosocial-history-can-improve-care
July 08, 2022 - was brought into the Emergency Department (ED) by his daughter from his board and care facility with weight
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psnet.ahrq.gov/Issues
June 23, 2021 - Unfortunately, norepinephrine was incorrectly programmed into the infusion pump for a weight-based dose
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psnet.ahrq.gov/Webmm
May 01, 2021 - Unfortunately, norepinephrine was incorrectly programmed into the infusion pump for a weight-based dose
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psnet.ahrq.gov/issues
June 23, 2021 - Unfortunately, norepinephrine was incorrectly programmed into the infusion pump for a weight-based dose
-
psnet.ahrq.gov/webmm
May 01, 2021 - Unfortunately, norepinephrine was incorrectly programmed into the infusion pump for a weight-based dose
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psnet.ahrq.gov/web-mm/overdose-oxygen
August 02, 2023 - Communication
November 29, 2023
WebM&M Cases
Weight
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psnet.ahrq.gov/sites/default/files/2021-02/final_feb_2021_spotlight_delay_in_appropriate_dx.pdf
January 01, 2021 - ) may be considered
• Submassive PE is treated with anticoagulation, either a DOAC, low
molecular weight
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psnet.ahrq.gov/web-mm/fatal-patient-controlled-analgesia-pca-opioid-induced-respiratory-depression
May 26, 2021 - View More
Related Resources
WebM&M Cases
Weight
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psnet.ahrq.gov/node/33608/psn-pdf
February 01, 2024 - psnet.ahrq.gov/issue/vital-signs-maternity-care-experiences-united-states-april-2023
ethnicity, age, weight
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psnet.ahrq.gov/sites/default/files/2024-04/spotlight_case_hindsight_is_2020_slides_final.pdf
January 01, 2024 - Microsoft PowerPoint - Spotlight Case_Hindsight is 2020_SLIDES_FINAL.pptx
Spotlight
Hindsight is 20/20: Thrombolytics for Alcohol
Intoxication
Source and Credits
• This presentation is based on the April 2024 AHRQ WebM&M
Spotlight Case
o See the full article at https://psnet.ahrq.gov/webmm
o CME credit is avail…
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psnet.ahrq.gov/node/49682/psn-pdf
April 01, 2013 - From Possible to Probable to Sure to Wrong—Premature
Closure and Anchoring in a Complicated Case
April 1, 2013
Newman-Toker DE. From Possible to Probable to Sure to Wrong—Premature Closure and Anchoring in a
Complicated Case. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/possible-probable-sure-wrong-premat…
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psnet.ahrq.gov/perspective/conversation-gordon-schiff-md
February 26, 2025 - In Conversation With… Gordon Schiff, MD
July 1, 2018
Citation Text:
In Conversation With… Gordon Schiff, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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Format:
…
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psnet.ahrq.gov/node/33861/psn-pdf
July 01, 2018 - In Conversation With… Gordon Schiff, MD
July 1, 2018
In Conversation With… Gordon Schiff, MD. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/conversation-gordon-schiff-md
Editor's note: Dr. Schiff is Associate Director of Brigham and Women's Center for Patient Safety Research
and Practice, Associate Pr…
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psnet.ahrq.gov/perspective/conversation-leah-binder-ma-mga
February 26, 2025 - In Conversation With… Leah Binder, MA, MGA
April 1, 2014
Citation Text:
In Conversation With… Leah Binder, MA, MGA. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014.
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